Drug problems and ?at risk? women?s involvement in HIV risk behaviors

Elifson, Kirk W.; Klein, Hugh; Sterk, Claire E.

doi:10.1007/s00038-004-3051-9

Cited by 4 publications

(2 citation statements)

References 67 publications

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“…41,42 Generally, low self-esteem has been linked to anger, aggression, poor problem-solving skills, impulsiveness, increased substance abuse, more HIV risk-taking behaviors, depression, and suicide. [43][44][45] Furthermore, data have indicated that the longer the drug use, the lower the self-esteem. [46][47][48] In addition, negative personality was another factor leading to lower self-esteem.…”

Section: Psychological Problems Need To Emphasis Family Support and Dmentioning

confidence: 99%

Consequences of Drug Abuse and HIV/AIDS in China: Recommendations for Integrated Care of HIV-Infected Drug Users

Wang

et al. 2009

AIDS Patient Care and STDs

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Drug abuse is a complicated social phenomenon rather than a neural disease. It especially fuels the HIV/AIDS epidemic. Researchers have shown interest in HIV-infected drug users as the socially and medically marginalized population, but they did not provide good enough care. Based on published English and Chinese journal articles and official reports, this integrated literature review summarizes the epidemic of drug abuse and HIV/AIDS, and comments on the clinical and psychosocial consequences, and harm reduction measures in China. Officially registered drug users have reached more than 1 million recently. A little under half of the people living with HIV/AIDS are injection drug users, as they transmit the disease through needle sharing and unprotected sexual behavior. The main consequences of drug abuse and HIV/AIDS included high prevalence of hepatitis viruses and tuberculosis co-infections, severe mental problems and extreme poverty. Even health professionals hold discriminative attitude toward drug users because of condemnation of drug abuse behavior and fear of HIV infection. Although interventions for drug addiction and harm reduction have been scaled up quickly, such as methadone maintenance treatment and needle syringe programs, the measures should be further revised, and the effectiveness needs to be evaluated appropriately. To enhance HIV-infected drug users' quality of life and the utility of medical services, improving health care providers' attitude is the first step. Then securing good quality of integrated medical care services with multidisciplinary cooperation will be essential.

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Section: Psychological Problems Need To Emphasis Family Support and Dmentioning

confidence: 99%

Consequences of Drug Abuse and HIV/AIDS in China: Recommendations for Integrated Care of HIV-Infected Drug Users

Wang

et al. 2009

AIDS Patient Care and STDs

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“…In a number of studies from diverse geographic locations, the female condom has also been used by some percentage of women without a partner's knowledge -especially in the case of a drunk or "high" partner or client (Hindustan Latex Family Planning Promotion Trust, 2004;Klein et al, 1999;Ray & Maposhere, 1997;Sala, 2001;Telles-Dias et al, 2006). This advantage is notable, since such partners are also more likely to be "high risk" for spreading infection and account for a relatively large proportion of sex acts (Elifson, Klein, & Sterk, 2004). The natural feel and lubricated nature of the device aids its discreet use, as partners are less likely to perceive that there is a protective layer along the vaginal wall.…”

Section: Female Condommentioning

confidence: 99%

A Neglected Population: Drug–Using Women and Women's Methods of HIV/STI Prevention

Gollub

2008

AIDS Education and Prevention

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Women drug users are at extremely high risk of HIV and sexually transmitted infections (STIs) from sexual transmission, but remain seriously neglected in intervention research promoting women-initiated methods of HIV/STI prevention. Sparse available data indicate a high interest and enthusiasm for women-initiated methods among these women. Moreover, drug-using women may be in a position to capitalize most on the myriad advantages of women-initiated methods and be the least hindered by their disadvantages, as compared with other populations of at-risk women. These advantages include, for example, the potential for prior placement and use of a female condom without being noticed by a drunk or "high" partner, long-term and/or clandestine use of cervical barriers, and the "contraceptive justification" to partners or clients initially unwilling to accede to use of a female barrier. Targeted, community-based outreach and educational efforts to this extremely hard-to-reach group as well as expanded public funding for women's methods are urgent priorities.

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The Relative Role of Perceived Partner Risks in Promoting Condom Use in a Three-City Sample of High-Risk, Low-Income Women

et al. 2010

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We examined the effect of women’s perceptions of sexual partner risks on condom use. Women from three US cities (n = 1,967) were recruited to provide data on HIV risks. In univariate models, increased odds of condom use were associated with perceiving that partners had concurrent partners and being unaware of partners': (a) HIV status, (b) bisexuality, (c) concurrency; and/or (d) injection drug use. In multivariate models, neither being unaware of the four partner risk factors nor perceiving a partner as being high risk was associated with condom use. Contextual factors associated with decreased odds of condom use were having sex with a main partner, homelessness in the past year, alcohol use during sex, and crack use in the past 30 days. Awareness of a partner’s risks may not be sufficient for increasing condom use. Contextual factors, sex with a main partner in particular, decrease condom use despite awareness of partner risk factors.

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Drug problems and ?at risk? women?s involvement in HIV risk behaviors

Abstract: Drug problems are an important predictor of women's involvement in HIV risk behaviors. Programs wishing to reduce their risk for contracting HIV should target drug-involved women and help them to stop using drugs.

Cited by 4 publications

References 67 publications

Consequences of Drug Abuse and HIV/AIDS in China: Recommendations for Integrated Care of HIV-Infected Drug Users

Consequences of Drug Abuse and HIV/AIDS in China: Recommendations for Integrated Care of HIV-Infected Drug Users

A Neglected Population: Drug–Using Women and Women's Methods of HIV/STI Prevention

The Relative Role of Perceived Partner Risks in Promoting Condom Use in a Three-City Sample of High-Risk, Low-Income Women

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